Brachial plexus injuries present unique challenges to both the patient and prosthetist, The brachial plexus injury can be classified in many categories: complete or incomplete lesion, with either an intact or amputated limb as a result of the injury. The intact yet flail limb presents with lack of sensation, shoulder subluxation, severe pain, and is often subjected to unintentional burns and cuts. Many brachial plexus patients with an intact limb elect to undergo limb amputation to reduce complications or improve function with prosthetic fitting options. Unforttmately, some patients continue to experience similar post-amputation complications. Fusion of the shoulder joint is a surgical option in an attempt to decrease pain and reduce shoulder subluxation. This procedure may be performed before, after, or in association with amputation of the extremity.